05D2058802 CLIA NUMBER - MARTEL EYE MEDICAL GROUP

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Laboratory Demographics

CLIA Number: 05D2058802

Facility Name: MARTEL EYE MEDICAL GROUP

Facility Address:
11216 TRINITY RIVER DR
RANCHO CORDOVA, CA
ZIP 95670
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Facility Phone Number: (916) 642-3443

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1629376207

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2058802
LAB Type	PHYSICIAN OFFICE
Facility Name	MARTEL EYE MEDICAL GROUP
Street	11216 TRINITY RIVER DR
City	RANCHO CORDOVA
State	CA
ZIP	95670
Phone	(916) 642-3443

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This page was last updated on: 5/11/2023